caa a22 4500 60545700X CHVBK 20210128100221.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s00167-014-3023-4 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3023-4 Factors associated with returning to football after anterior cruciate ligament reconstruction [Elektronische Daten] [Alexander Sandon, Suzanne Werner, Magnus Forssblad] Purpose: The aim of the present investigation was to identify possible factors associated with returning to football on an average 3.2±1.4years after anterior cruciate ligament (ACL) reconstruction in both male and female football players. Methods: The players were recruited from a patient database of football players that have undergone an ACL reconstruction between 2004 and 2007 at the Capio Artro Clinic, Sophiahemmet in Stockholm, Sweden. Special attention was paid to gender, age, type of graft for ACL reconstruction, associated injuries, anterior knee laxity, thigh muscle torques and symptoms/problems during, and/or after physical activity. In the beginning of the summer of 2009, 205 players (37.9%) out of 541 players filled out a questionnaire designed to evaluate physical activity and knee function in a sports-specific setting. A detailed dropout analysis showed that females responded to a higher degree than males. No other significant differences between responders and non-responders were found. Results: Fifty-four per cent (n=111) had returned to football, and 46% (n=94) had not. Using logistic regression analyses, we found that the female gender (p=0.036, OR 0.518), cartilage injury (p=0.013, OR 0.368), and pain during physical activity (p=0.002, OR 0.619) were significant negative predictors for returning to football after ACL reconstruction and rehabilitation. For players with all three significant factors, only 10% returned to football compared to 76.5% of those without any of these factors. Conclusions: Female gender, cartilage injury, and knee pain during physical activity were independent negative predictors for returning to football after ACL reconstruction. At a mean follow-up of 3.2±1.4years after ACL reconstruction, pain during physical activity was reported to be the most common symptom/problem in football players. The clinical relevance of this study is to improve the treatment of ACL injured football players focusing on female gender and knee pain. Furthermore, ACL injury prevention should be highlighted in football players, especially female players. Level of evidence: III. Springer-Verlag Berlin Heidelberg, 2014 Anterior cruciate ligament injury nationallicence Anterior cruciate ligament surgery nationallicence Cartilage injury nationallicence Knee pain nationallicence Return to play nationallicence Return to sports nationallicence Soccer nationallicence Sandon Alexander Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Sophiahemmet, Valhallavägen 91, 114 86, Stockholm, Sweden aut Werner Suzanne Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Sophiahemmet, Valhallavägen 91, 114 86, Stockholm, Sweden aut Forssblad Magnus Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Sophiahemmet, Valhallavägen 91, 114 86, Stockholm, Sweden aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/9(2015-09-01), 2514-2521 0942-2056 23:9<2514 2015 23 167 https://doi.org/10.1007/s00167-014-3023-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3023-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sandon Alexander Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Sophiahemmet, Valhallavägen 91, 114 86, Stockholm, Sweden aut NATIONALLICENCE 700 1- Werner Suzanne Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Sophiahemmet, Valhallavägen 91, 114 86, Stockholm, Sweden aut NATIONALLICENCE 700 1- Forssblad Magnus Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Sophiahemmet, Valhallavägen 91, 114 86, Stockholm, Sweden aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/9(2015-09-01), 2514-2521 0942-2056 23:9<2514 2015 23 167